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. 2017 Mar 28:6:35.
doi: 10.4103/2277-9175.203160. eCollection 2017.

Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy

Mehrdad Mohammadi Sichani  1 , Masih Babaeian  2 , Saeid Haghdani  3 , Farshid Alizadeh  1 , Hamid Mazdak  1 , Mazaher Hadi  2 , Mohammadhatef Khorrami  1
Affiliations

Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy

Mehrdad Mohammadi Sichani et al. Adv Biomed Res. .

Abstract

Background: The aim of this study is the caparison of the complications rate among the patients which underwent nephrostomy removal with and without performing nephrostography.

Materials and methods: Between October 2010 and November 2011, 200 patients who underwent standard percutaneous nephrolithotomy (PCNL) procedures were included in this study. The patients were randomly assigned into two groups, Group A (n = 100) did not undergo the antegrade nephrostography on postoperative day 2 and the patients were discharged keeping the nephrostomy until postoperative day 3, while in Group B (n = 100) the nephrostomy tube was removed on postoperative day 3 after antegrade nephrostography demonstrating ureteral drainage down to the bladder. Postoperative complications in both groups were recorded and compared between two groups.

Results: A total of 200 patients were treated with standard PCNL. The persistent leakage of urine after removal of the nephrostomy tube was encountered in 5 (5.0%) and 3 (3%) of patients in Groups 1 and 2, respectively. Urinary leakage was resolved with conservative management in 3 and 2 patients of Groups 1 and 2, respectively, but a double-J stent was inserted in 2 and 1 patients in each group because of persistent leakage of urine more than 1-week. The two groups show comparable complications such as prolonged urinary leakage which managed in a similar manner, however, postoperative hospital stay was lesser in Group 1.

Conclusion: Our results revealed postoperative performing nephrostogramy before tube removal changed the planning of complications such as prolonged urinary leakage and could be omitted in cases.

Keywords: Nephrostography; nephrostomy removal; percutaneous nephrolithotomy.

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Conflict of interest statement

There are no conflicts of interest.

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References

    1. Matlaga BR, Kim SC, Lingeman JE. Improving outcomes of percutaneousn ephrolithotomy access. Eur Urol EAU Update Ser. 2005;3:37–43.
    1. Grasso M, Loisides P, Beaghler M, Bagley D. The case for primary endoscopic management of upper urinary tract calculi: I. A critical review of 121 extracorporeal shock-wave lithotripsy failures. Urology. 1995;45:363–71. - PubMed
    1. Pietrow PK, Auge BK, Zhong P, Preminger GM. Clinical efficacy of a combination pneumatic and ultrasonic lithotrite. J Urol. 2003;169:1247–9. - PubMed
    1. Lingeman JE, Coury TA, Newman DM, Kahnoski RJ, Mertz JH, Mosbaugh PG, et al. Comparison of results and morbidity of percutaneous nephrostolithotomy and extracorporeal shock wave lithotripsy. J Urol. 1987;138:485–90. - PubMed
    1. Michel MS, Trojan L, Rassweiler JJ. Complications in percutaneous nephrolithotomy. Eur Urol. 2007;51:899–906. - PubMed